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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416226
Report Date: 07/24/2019
Date Signed: 07/24/2019 04:21:05 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/15/2019 and conducted by Evaluator Sophia Lord-Richard
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190715140740
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197416226
ADMINISTRATOR:GARCIA, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 400-3752
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 15DATE:
07/24/2019
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Toni Garcia, LicenseeTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Personal Rights-Staff are restraining children while in care.
Capacity- Licensee operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Sophia Lord-Richard conducted an unannounced complaint visit and met with Toni Garcia, Licensee to conduct an investigation regarding the Personal Rights, Licensing allegations. Upon arrival, LPA observed 15 children being supervised by (Licensee, and Assistant Daughter).

LPA observed the facility, inspected the home, obtained documents and conducted interviews.

Based upon the weight of evidence obtained during the course of this investigation, the above allegations have been determined substantiated. Substantiated – A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

A copy of this report was explained and issued to Toni Garcia, Licensee.

Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 30-CC-20190715140740
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 197416226
VISIT DATE: 07/24/2019
NARRATIVE
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Two type A deficiencies cited.

Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit, provide copies of the licensing report to parents/guardians of children in care at the facility and obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20190715140740
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 197416226
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2019
Section Cited
CCR
102423(a)(2)
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Personal Rights-Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee will provide Licensing with a declaration stating that chairs will not be used for restain children in care.
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

LPA observed children being restrained in chair,which poses a potential Health and safety risk to children in care.
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Type A
07/24/2019
Section Cited
CCR
102416.5(f)
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Staffing Ratio and Capacity-The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.

LPA arrived and observed 15 children at the Family Child Care Home upon visit.
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Licensee will provide Licensing with a declaration stating she will only provide care for a total of 14 children for which the home is Licensed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/15/2019 and conducted by Evaluator Sophia Lord-Richard
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190715140740

FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197416226
ADMINISTRATOR:GARCIA, TONIFACILITY TYPE:
810
ADDRESS:17221 SHERMAN WAYTELEPHONE:
(818) 400-3752
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 15DATE:
07/24/2019
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Toni Garcia, LicenseeTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Personal Rights-Licensee failed to feed day-care child an adequate amount of food.
INVESTIGATION FINDINGS:
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LPA Sophia Lord-Richard conducted an unannounced complaint inspection for the purpose of concluding the investigation into the above allegations. LPA met with Toni Garcia, Licensee.

Based upon the weight of evidence obtained during the course of this investigation, the above allegations have been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

A copy of this report was explained and issued to Toni Garcia, Licensee
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4